Endoscopic ultrasound-guided choledochoduodenostomy with a lumen-apposing metal stent through an uncovered metal duodenal stent

Sportes, Adrien; Airinei, Gheorghe; Kamel, Ralph; Raynaud, Jean‐Jacques; Bénamouzig, Robert

doi:10.1055/a-0735-9254

Cited by 10 publications

(6 citation statements)

References 5 publications

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“…To our knowledge, only 2 similar cases are reported in literature; in both cases, the LAMS were released through the mesh of the duodenal SEMS such as in our patient. 19,20 Our report supports the use of EUS-CDS associated to SEMS placement in such challenging clinical scenarios. EUS biliary drainage is a salvage therapy that should be reserved for type I and type II bilioduodenal stenosis when ERCP is not feasible because of the presence of synchronous duodenal obstruction.…”

Section: Discussionsupporting

confidence: 73%

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Combined Endoscopic Stent-In-Stent Placement by Lumen-Apposing Metal Stents Through Self-Expanding Metal Stents for Simultaneous Malignant Biliary and Duodenal Obstruction

et al. 2021

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The palliation of simultaneous biliary and duodenal obstruction in patients with advanced pancreatic cancer is a clinically and technically challenging scenario. Endoscopic procedures are a valid alternative to surgical or percutaneous transhepatic biliary drainage. The availability of self-expanding metal stents (SEMSs) and lumen-apposing metal stents (LAMS) have expanded therapeutic options. We describe a case in which biliary and duodenal obstructions were treated successfully with the combined use of SEMS and LAMS devices. Endoscopic ultrasound-guided biliary drainage with the use of new LAMS and a duodenal SEMS can be a valid option in expert hands as a palliative and minimally invasive treatment for gastric outlet and biliary obstruction. CASE REPORTA 79-year-old woman was admitted to our hospital with painless jaundice. She had a history of stable oncohematological disease. On admission, laboratory tests showed increased total bilirubin (8.7 mg/dL) and direct bilirubin (5.2 mg/dL), associated with increased

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Section: Discussionsupporting

confidence: 73%

“…To our knowledge, only 2 similar cases are reported in literature; in both cases, the LAMS were released through the mesh of the duodenal SEMS such as in our patient. 19,20…”

Section: Discussionmentioning

confidence: 99%

Combined Endoscopic Stent-In-Stent Placement by Lumen-Apposing Metal Stents Through Self-Expanding Metal Stents for Simultaneous Malignant Biliary and Duodenal Obstruction

et al. 2021

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“…To our knowledge, only two case reports have been published in the literature about placement of a LAMS TTM of an uncovered duodenal stent after failed ERCP 27 28 . In our series, we experienced a 95.6 % technical success rate and no early or late AEs were recorded.…”

Section: Discussionmentioning

confidence: 99%

Lumen-apposing metal stent through the meshes of duodenal metal stents for palliation of malignant jaundice

et al. 2021

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Background and study aims Endoscopic retrograde cholangiopancreatography (ERCP) is the gold standard procedure for malignant jaundice palliation; however, it can be challenging when a duodenal self-expandable metal stent (SEMS) is already in place. Patients and methods The primary aim of our study was to evaluate the technical feasibility of the placement of a lumen apposing metal stent (LAMS) through the mesh (TTM) of duodenal stents. The secondary aims were to evaluate clinical outcomes and adverse events (AEs) related to the procedures. Results Data from 23 patients (11 F and 12 M; mean age: 69.5 ± 11 years old) were collected. In 17 patients (73.9 %) TTM LAMS placement was performed as first intention, while in six patients (26.1 %) it was performed after a failed ERCP. Thirteen patients (56.5 %) underwent the procedure due to advanced pancreatic head neoplasia. One technical failure was experienced (4.3 %). The TTM LAMS placement led to a significant decrease in the serum levels of bilirubin, ALP, GGT, WBC and CRP. No cases of duodenal SEMS occlusion occurred and no other AEs were observed during the follow-up. Conclusions Concomitant malignant duodenal and biliary obstruction is a challenging condition. Palliation of jaundice using TTM LAMS in patients already treated with duodenal stent is associated to promising technical and clinical outcomes.

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“…However, in such cases, patients have often undergone previous placement of a duodenal stent. To the best of our knowledge, there is only one case report of EUS‐guided biliary tract intervention after placement of a duodenal stent . Herein, we present the first case report of EUS‐GBD through the mesh of a duodenal stent for cholecystitis in a patient with pancreatic cancer.…”

Section: Brief Explanationmentioning

confidence: 99%

Successful endoscopic ultrasound‐guided gallbladder drainage through the mesh of a duodenal stent for cholecystitis in a patient with pancreatic cancer

Harima

Sanuki

Sakaida

2019

Digestive Endoscopy

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Endoscopic ultrasound-guided choledochoduodenostomy with a lumen-apposing metal stent through an uncovered metal duodenal stent

Cited by 10 publications

References 5 publications

Combined Endoscopic Stent-In-Stent Placement by Lumen-Apposing Metal Stents Through Self-Expanding Metal Stents for Simultaneous Malignant Biliary and Duodenal Obstruction

Combined Endoscopic Stent-In-Stent Placement by Lumen-Apposing Metal Stents Through Self-Expanding Metal Stents for Simultaneous Malignant Biliary and Duodenal Obstruction

Lumen-apposing metal stent through the meshes of duodenal metal stents for palliation of malignant jaundice

Successful endoscopic ultrasound‐guided gallbladder drainage through the mesh of a duodenal stent for cholecystitis in a patient with pancreatic cancer

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